WO2007100672A3 - Marker arrangement for bifurcation catheter - Google Patents

Marker arrangement for bifurcation catheter Download PDF

Info

Publication number
WO2007100672A3
WO2007100672A3 PCT/US2007/004748 US2007004748W WO2007100672A3 WO 2007100672 A3 WO2007100672 A3 WO 2007100672A3 US 2007004748 W US2007004748 W US 2007004748W WO 2007100672 A3 WO2007100672 A3 WO 2007100672A3
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
branches
markers
relative
marker arrangement
Prior art date
Application number
PCT/US2007/004748
Other languages
French (fr)
Other versions
WO2007100672A2 (en
Inventor
Andrzej Malewicz
Richard C Gunderson
Original Assignee
Boston Scient Scimed Inc
Andrzej Malewicz
Richard C Gunderson
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boston Scient Scimed Inc, Andrzej Malewicz, Richard C Gunderson filed Critical Boston Scient Scimed Inc
Priority to JP2008556444A priority Critical patent/JP5095635B2/en
Priority to EP07751504A priority patent/EP1993478A2/en
Priority to CA2641154A priority patent/CA2641154C/en
Publication of WO2007100672A2 publication Critical patent/WO2007100672A2/en
Publication of WO2007100672A3 publication Critical patent/WO2007100672A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0108Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/954Instruments specially adapted for placement or removal of stents or stent-grafts for placing stents or stent-grafts in a bifurcation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/856Single tubular stent with a side portal passage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097Visible markings, e.g. indicia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1045Balloon catheters with special features or adapted for special applications for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations

Abstract

A catheter assembly (10) and related methods include first (12) and second (14) catheter branches that are configured to travel over separate guidewires (36, 38) to a vessel bifurcation treatment site within a patient. The catheter branches can each include a plurality of markers (18, 19, 22, 23). The position of markers on one catheter branch relative to the position of markers on the other catheter branch provide a visual indication of relative twist between the catheter branches, can help distinguish one catheter branch from the other, and help with visual alignment of the catheter branches relative to the vessel bifurcation.
PCT/US2007/004748 2006-02-22 2007-02-22 Marker arrangement for bifurcation catheter WO2007100672A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP2008556444A JP5095635B2 (en) 2006-02-22 2007-02-22 Branch catheter marker placement
EP07751504A EP1993478A2 (en) 2006-02-22 2007-02-22 Marker arrangement for bifurcation catheter
CA2641154A CA2641154C (en) 2006-02-22 2007-02-22 Marker arrangement for bifurcation catheter

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US77614906P 2006-02-22 2006-02-22
US60/776,149 2006-02-22
US11/677,337 US8821561B2 (en) 2006-02-22 2007-02-21 Marker arrangement for bifurcation catheter
US11/677,337 2007-02-21

Publications (2)

Publication Number Publication Date
WO2007100672A2 WO2007100672A2 (en) 2007-09-07
WO2007100672A3 true WO2007100672A3 (en) 2008-01-10

Family

ID=38219985

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/004748 WO2007100672A2 (en) 2006-02-22 2007-02-22 Marker arrangement for bifurcation catheter

Country Status (5)

Country Link
US (1) US8821561B2 (en)
EP (1) EP1993478A2 (en)
JP (1) JP5095635B2 (en)
CA (1) CA2641154C (en)
WO (1) WO2007100672A2 (en)

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US8454681B2 (en) * 2006-09-13 2013-06-04 Boston Scientific Scimed, Inc. Bifurcation delivery systems and methods
US8608790B2 (en) * 2006-10-06 2013-12-17 Boston Scientific Scimed, Inc. Bifurcation catheter and method
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US8333795B2 (en) * 2007-08-27 2012-12-18 Boston Scientific Scimed, Inc. Bulging balloon for bifurcation catheter assembly and methods
US20090069878A1 (en) * 2007-08-27 2009-03-12 Boston Scientific Scimed, Inc. Bifurcation post-dilatation balloon and methods
WO2009061969A2 (en) * 2007-11-06 2009-05-14 Daniel Gelbart In vivo inflatable structures, for example to expand stents
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WO2009088953A2 (en) 2007-12-31 2009-07-16 Boston Scientific Scimed Inc. Bifurcation stent delivery system and methods
US8377108B2 (en) * 2008-06-02 2013-02-19 Boston Scientific Scimed, Inc. Staggered two balloon bifurcation catheter assembly and methods
US8308793B2 (en) 2008-06-10 2012-11-13 Boston Scientific Scimed, Inc. Bifurcation catheter assembly with dynamic side branch lumen
US8398697B2 (en) * 2008-06-13 2013-03-19 Boston Scientific Scimed, Inc. Bifurcation catheter assembly with distally mounted side balloon and methods
US20090326643A1 (en) * 2008-06-27 2009-12-31 Boston Scientific Scimed, Inc. Balloon folding apparatus and method
US8333794B2 (en) 2008-07-25 2012-12-18 Boston Scientific Scimed, Inc. Side balloon identifiers and methods for radial and axial alignment in a catheter assembly
US8163123B2 (en) 2008-07-31 2012-04-24 Boston Scientific Scimed, Inc. Bifurcation catheter dual balloon bond and methods
US8152840B2 (en) * 2008-07-31 2012-04-10 Boston Scientific Scimed, Inc. Bifurcation catheter assembly and methods
US8945198B2 (en) 2008-07-31 2015-02-03 Boston Scientific Scimed, Inc. Locating side catheter branch relative to inflation portion
US8187313B2 (en) * 2008-08-01 2012-05-29 Boston Scientific Scimed, Inc. Bifurcation catheter assembly side catheter branch construction and methods
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US10226333B2 (en) 2013-10-15 2019-03-12 Cedars-Sinai Medical Center Anatomically-orientated and self-positioning transcatheter mitral valve
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US10709587B2 (en) * 2013-11-05 2020-07-14 Hameem Unnabi Changezi Bifurcated stent and delivery system
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US10507301B2 (en) 2014-01-31 2019-12-17 Cedars-Sinai Medical Center Pigtail for optimal aortic valvular complex imaging and alignment
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US11911143B2 (en) * 2018-06-07 2024-02-27 Pierre Jais Devices, systems, and methods for improving the accuracy and utility of imaging for cardiovascular procedures
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EP3838164A1 (en) * 2019-08-27 2021-06-23 St. Jude Medical, Cardiology Division, Inc. Deflectable torque cable for delivery of medical devices
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US20070203562A1 (en) 2007-08-30
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